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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />.-------.- .- <br />PHONE CONTACT FOR PE~TING <br />- <br /> <br />1'.2..Cl. O~ <br />DATE RECE IVED _ <br />qr~. ~4~S~3~ <br /> <br />~~- <br /> <br />OWNER'S NAME UowtU ()qS1"ce. :t;n-/C.M4-rlo!U>4 Co <br /> <br />JOB ADDRESrJ~~f/5~~ pvE rl <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />PHONE <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />DSIGN <br /> <br />~ADDITION <br />o MOVE <br /> <br />~LTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />')Q COMMERC IAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />~ OTHER <br />75uJ.R ~ <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL ......- <br />f(F:JlJf:oll,e.e [~..JSIj.v.!\ ~L.U.)M11.,)AJS fDft loW'V\ <br />, <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />N,~c.. ~"\i 11l.fiD <br /> <br /> PERMITS REQUESTED <br />')a BUILDING $ ~O om- VALUATION OF TOTAL CONSTRUCTION <br /> ) <br />0 ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />0 PLUMBING <br />0 MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />0 GAS o ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />18I 0 THE R t=' Q,tItlJ hA j\ '() rJ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~NO <br /> <br /> <br />***************************************************** * <br /> <br />COMPANY EM- [Nff/l.p,rz.,l.c;r~ G C INu <br /> <br />STATE CERT OR REGIST # CeCA 403 _ \ <br />(9 <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />